42 CFR §401.135
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
The following shall be made available to the public under the conditions specified:
- (a)Information as to amounts paid to providers and other organizations and facilities for services to beneficiaries under title XVIII of the Act: Provided, That no information identifying any particular beneficiaries shall be disclosed under this paragraph.
- (b)The name of any provider of services or other person furnishing services to Medicare beneficiaries who—
- (1)Has been found by a Federal court to have been guilty of submitting false claims in connection with Medicare; or
- (2)Has been found by a carrier or intermediary, after consultation with a professional medical association functioning external to program administration or, if appropriate, the State medical authority, to have been engaged in a pattern of furnishing services to beneficiaries which are substantially in excess of their medical needs; except that the name of any provider or other person shall not be disclosed pursuant to a finding under this paragraph (b)(2) of this section, unless that provider or other person has first been afforded a reasonable opportunity to offer evidence on his behalf.
- (c)Upon request in writing, cost reports submitted by providers of services pursuant to section 1815 of the Act to enable the Secretary to determine amounts due the providers.